The nurse has just completed a lymph node assessment on a healthy 40-year-old female patient. Which of the following is an expected finding?

Fixed lymph nodes

Lymph nodes that are large, firm, and fixed to the tissue

Nonpalpable lymph nodes

Rubbery, discrete, and mobile lymph nodes

Answer and Explanation

The Correct Answer is C

A.   Fixed lymph nodes suggest possible malignancy or infection and are not typical for a healthy individual.
B.   Lymph nodes that are large, firm, and fixed to the tissue also suggest infection or malignancy and would be abnormal in a healthy patient.
C.   Nonpalpable lymph nodes are a normal finding.
D.   Rubbery, discrete, and mobile lymph nodes are indicative of a pathological process.

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Correct Answer is A

Explanation

A. Smoking, hypertension, obesity, diabetes, and high cholesterol: These are all well-established major risk factors for heart disease and should be included in the patient's history.
B. Personality type, high cholesterol, diabetes, and smoking: While personality type may contribute to stress, the other factors listed are more directly linked to heart disease.
C. Alcohol consumption, obesity, diabetes, stress, and high cholesterol: Alcohol consumption may be a risk factor, but smoking and hypertension are more significant.
D. Family history, hypertension, stress, and age: While family history, age, and hypertension are important, this option misses key factors like obesity, smoking, and diabetes.

A. Tympany B. Hyperresonance C. Resonance D. Dullness

Correct Answer is B

Explanation

A. Tympany is a high-pitched sound typically heard over a hollow organ such as the stomach.
B. Hyperresonance is often heard in patients with COPD, as the lungs are hyperinflated, leading to an increased resonance when percussed.
C. Resonance is normal and would be heard in healthy, air-filled lungs.
D. Dullness would suggest a solid or fluid-filled area, which is not typical of COPD unless there is a complication like pleural effusion.

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The nurse has just completed a lymph node assessment on a healthy 40-year-old female patient. Which of the following is an expected finding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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